Arnadottir Solveig A, Gudjonsdottir Bjorg
S.A. Arnadottir, PT, PhD, Department of Physical Therapy, School of Health Sciences, University of Iceland, Stapi at Hringbraut, 101 Reykjavík, Iceland.
B. Gudjonsdottir, PT, MSc, Department of Physical Therapy, School of Health Sciences, University of Iceland.
Phys Ther. 2016 Nov;96(11):1724-1733. doi: 10.2522/ptj.20150428. Epub 2016 May 19.
A positive attitude toward evidence-based practice (EBP) has been identified as an important factor in the effectiveness of the dissemination and implementation of EBP in real-world settings.
The objectives of this study were: (1) to describe dimensions of Icelandic physical therapists' attitudes toward the adoption of new knowledge and EBP and (2) to explore the association between attitudes and selected personal and environmental factors.
This study was a cross-sectional, Web-based survey of the total population of full members of the Icelandic Physiotherapy Association.
The Evidence-Based Practice Attitude Scale (EBPAS) was used to survey attitudes toward EBP; the total EBPAS and its 4 subscales (requirements, appeal, openness, and divergence) were included. Linear regression was used to explore the association between the EBPAS and selected background variables.
The response rate was 39.5% (N=211). The total EBPAS and all of its subscales reflected physical therapists' positive attitudes toward the adoption of new knowledge and EBP. Multivariable analysis revealed that being a woman was associated with more positive attitudes, as measured by the total EBPAS and the requirements, openness, and divergence subscales. Physical therapists with postprofessional education were more positive, as measured by the EBPAS openness subscale, and those working with at least 10 other physical therapists demonstrated more positive attitudes on the total EBPAS and the openness subscale.
Because this was a cross-sectional survey, no causal inferences can be made, and there may have been unmeasured confounding factors. Potential nonresponse bias limits generalizability.
The results expand understanding of the phenomenon of attitudes toward EBP. They reveal potentially modifiable dimensions of attitudes and the associated characteristics of physical therapists and their work environments. The findings encourage investigation of the effectiveness of strategies aimed at influencing various dimensions of attitudes toward EBP.
对循证实践（EBP）持积极态度已被视为在现实环境中传播和实施循证实践有效性的一个重要因素。
本研究的目的是：（1）描述冰岛物理治疗师对采用新知识和循证实践的态度维度；（2）探讨态度与选定的个人和环境因素之间的关联。
本研究是一项基于网络的横断面调查，对象为冰岛物理治疗师协会的全体正式会员。
使用循证实践态度量表（EBPAS）来调查对循证实践的态度；纳入了EBPAS总量表及其4个分量表（要求、吸引力、开放性和分歧性）。采用线性回归来探讨EBPAS与选定背景变量之间的关联。
回复率为39.5%（N = 211）。EBPAS总量表及其所有分量表均反映出物理治疗师对采用新知识和循证实践持积极态度。多变量分析显示，女性在EBPAS总量表以及要求、开放性和分歧性分量表上的态度更为积极。具有专业后教育背景的物理治疗师在EBPAS开放性分量表上更为积极，而与至少10名其他物理治疗师共事的人在EBPAS总量表和开放性分量表上表现出更积极的态度。
由于这是一项横断面调查，无法进行因果推断，可能存在未测量的混杂因素。潜在的无应答偏倚限制了研究结果的普遍性。
研究结果扩展了对循证实践态度现象的理解。它们揭示了态度中可能可改变的维度以及物理治疗师及其工作环境的相关特征。这些发现鼓励对旨在影响循证实践态度各维度的策略有效性进行调查。
